meniscusscheur

A meniscusscheur is, in Dutch medical terminology, a tear of one of the knee’s menisci. The knee contains two crescent-shaped fibrocartilaginous discs, the medial and lateral menisci, that sit between the femur and tibia. They cushion the joint, help distribute load, and contribute to stability. Tears can be traumatic, often resulting from twisting injuries during sports, or degenerative, related to aging and wear.

Symptoms commonly include knee pain on the inner or outer side, swelling, and reduced range of motion. Mechanical symptoms such as catching, locking, or a sense that the knee can give way may also occur, especially with more substantial tears. The onset can be immediate after injury or gradual with degenerative tears.

Diagnosis typically starts with a clinical examination. Special maneuvers, such as the McMurray or Thessaly tests, can suggest a meniscal tear. Magnetic resonance imaging (MRI) is commonly used to confirm the tear, characterize its pattern, and assess associated injuries. X-rays may be taken to exclude other causes of knee pain.

Treatment may be nonoperative or surgical. Small or degenerative tears without mechanical symptoms can often be managed with rest, ice, compression, elevation (RICE), non-steroidal anti-inflammatory drugs, and progressive physical therapy to restore strength and range of motion. When symptoms persist, or there is mechanical interference, arthroscopic surgery is considered. Options include meniscal repair or partial meniscectomy; repair is favored in younger patients when feasible, while meniscectomy removes the torn segment.

Recovery involves a structured rehabilitation program with gradual weight bearing and exercises. Long-term outcomes are generally good for many tears, but meniscal injuries can increase the risk of osteoarthritis over time. Prevention focuses on conditioning, proper warm-ups, and avoiding high-risk twisting motions.